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护理干预在前置胎盘期待疗法中的效果探讨 被引量:4

Effect of nursing intervention in the expectant therapy of placenta previa
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摘要 目的探讨护理干预在前置胎盘期待疗法中的应用效果。方法选取2016年5月~2017年4月在我院接受治疗的200例前置胎盘孕妇为研究对象,所有患者均接受期待疗法治疗。根据患者入院时间先后,对其进行分组,每组100例。对照组患者在接受前置胎盘期待疗法治疗过程中实施常规护理,观察组患者接受护理干预,对两组患者及新生儿围产期的各项指标进行对比分析。结果观察组患者的产后出血量、终止妊娠时间均明显优于对照组,差异有统计学意义(P<0.05),两组胎盘植入率、休克发生率无明显统计学意义(P>0.05);观察组新生儿Apgar评分、新生儿体重、胎位异常率、新生儿呼吸窘迫综合征发生率均明显低于对照组,差异有统计学意义(P<0.05),两组围产儿死亡率差异无统计学意义(P>0.05);观察组产妇及家属满意度评分均明显高于对照组,差异有统计学意义(P<0.05)。结论在前置胎盘期待疗法过程中实施护理干预,可提升产妇和新生儿的生存质量,改善产妇和新生儿围产期的各项临床指标,提升产妇及家属的满意度,更值得在临床上进一步推广和应用。 Objective To explore the effect of nursing intervention in the expectant therapy of placenta previa.Methods From May 2016 to April 2017,200 cases of pregnant women with placenta previa in our hospital were selected as the research object,all patients received expectant treatment.According to the time of admission,the patients were divided into groups,100 cases in each group.The patients of control group were given routine care in an expectant treatment of placenta previa during the treatment,the patients of the observation group received nursing intervention,the indexes of the two groups of patients and perinatal were compared.Results The amount of postpartum hemorrhage and the time of termination of pregnancy in the observation group were significantly better than those in the control group(P<0.05).There was no significant difference in the rate of placental implantation rate and incidence of shock in the two groups.The neonatal Apgar score,birth weight,fetal abnormal rate,neonatal respiratory distress of the occurrence rate of syndrome in observation group were significantly lower than those in control group(P<0.05),there was no significant difference between the two groups of perinatal mortality(P>0.05);The satisfaction of pregnant women and their family members in observation group were significantly higher than those in control group(P<0.05).Conclusion The implementation of nursing intervention in expectant treatment of placenta previa can improve the quality of life of mothers and neonates,improve the clinical indicators of maternal and neonatal perinatal period,improve the satisfaction of mothers and their families,and is worthy of further promotion and application in clinical practice.
作者 苏丽珍 刘羿韵 朱建英 SU Lizhen;LIU Yiyun;ZHU Jianying(The Maternal and Child Health Care Hospital of Dongguan City,Dongguang 523000,China)
出处 《中国医药科学》 2018年第5期130-132,共3页 China Medicine And Pharmacy
关键词 护理干预 前置胎盘 期待疗法 围产儿 Nursing intervention Placenta previa Expectant therapy Perinatal
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